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Home My WebLink About2613 COLIBRI LN; ; CB962235; Permit11/19/36 "l, 3, B U I L D I N G P E R M I Page 1 of i Job Address 2613 COLIBRI LN Permit Type. MISCELLANEOUS Parcel No. 215-535-16-00 rot#- Valuation 6,804 " Dccupancy Group. ' Reference*• Description RE-ROOF,2800 SF LITE WT CONCRE . ICBO #4660 Permit No CB962235 Project No. A9603166 Development No• 10:,9 11/19/96 000 Construction Typep. ''''* 02 Appl/Ownr • SUPERIOR ROOFING 3470 LINDA VISTA DR SAN MARCOS CA 92069 *** Fees Required AX* Fee a Adjustments Total Fees Fee description 619 745-9509 Status ISSUED Applied 11/19/96 Apr/Issue. 11/19/96 Entered By• RMA 149 llected & Credits Miscellaneous Fee #1 * MISCELLANEOUS TOTA * A * 00 00 149 00 Ext fee Data 149 00 PERMIT FEE 149 00 FINAL APPROVAL iHSP. :Ml» DATE EARANCE CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMTF APPLICATION •City of Carlsbad Building Depertaent 2075 Las falmas Dr., Carlsbad, CA 92009 (619) 438-1161 T PERMIT TYPE From List 1 (see back) give code of Permit-Type For Residential Proiects Only From List 2 (see back) give Code of Structure-Type Net Loss/Gain of Dwelling Units . PLAN CHECK NO. EST VAL qg&zr-' PLAN CK DEPOSIT. VALID. BY^ DATE -t- -P. 2. PROJECT INFORMATION FOR OFFICE USE ONLY L»V, Building or Suite No Nearest Cross Street LEGAL DESCRIPTION Lot No Subdivision Name/Number Unit No Phase No CHECK BhLOW IF bUBMirTED D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL DESCRIPTION OF WORK SQ FT EXISTING USE PROPOSED USE / # OF STORIES # OF BEDROOMS # OF BATHROOMS 3 (JUN1AL.I PkKSiJN (.it different from applicant; NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4 APPLICANT jfijLUN IRAC.IUK EJ AUtN 1 hOH LUN 1KAL1UK UUWNtK P AutN I KJK OWNtK NAME (last name first) ADDRESS CITY *M«<KtCoc. STATE ZIP CODE DAY TELEPHONE ^ «H 5" - **) £>O g/ 5 PROPERTYTJWNER NAME (last name first) CITY ADDRESS STATE ZIP CODE DAY TELEPHONE 6 CONTRACTOR NAME (last name first) CITY (,V\rt»*-»_03 STATE STATE UC ADDRESS v ZIP CODE q^jOt^ DAY TELEPHONE 1 LICENSE CLASS ^-3 1 CITY BUSINESS UC # DESIGNER NAMh (last name first; CITY STATE ZIP CODE DAY TELEPHONE STATE LIC # 7 WORKERS'COMPKNSA'HoN vvorkervCompensation Declaration I hereby affirm that 1 nave a certificate ofconsent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (SecDon 3800, Lab C) INSURANCE COMPANY POLICY NO EXPIRATION DATE Certificate ot Exemption Tcertiry that in the performance of the work tor which this permit is issued, I so as to become subject to the Workers' Compensation Laws of California shall not employ any person in any manner SIGNATURE DATE 8 OWNEK-BUILDER DECLARATION Uwner-Builder Declaration 1 hereoy amrm that 1 am exempt trom tneContractors License Law tor the lollowing reason I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law) I am exempt under Section Business and Professions Code for this reason (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of die Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [S500J) SIGNATURE DATE SECTION FOH NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?a YES a NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS I MET OH IS MEETING THE .REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT uNS'inucTiuN LENDING AGENCY I hereby atiirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (Sec 3097(0 Civil Code) LENDER'S NAME LENDER'S ADDRESS 1O AHPUL.AN1 1 certify that 1 have read the application and state that the above intormation is correct (agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA. An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones in height Expiration Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authonzed by such permit is not commenced within 365 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 303(d) Uniform Building Code) APPLICANTS SIGNATURE _ DATE ? __ H^ jCj ^ HITE.WHITE. File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS 3£ J3 2. TYPE OF BUILDING: RESIDENTIAL «x^ COMMERCIAL _ 3. ROOF SLOPE: RISE .<P" inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING &i+fl-Y*.&~ SHEATHING 5. NUMBER OF EXISTING ROOF COVERINGS (circle one) Ct 2 3 *6. NEW ROOF MATERIAL crrtGUTTF" ^r?L.€- CLASS /I WEIGHT PER SQUARE 7. NUMBER OF SQUARES 8. TRADE NAME .up*:****- ^co^'t^fe MANUFACTURER 9. ROOF SYSTEM APPROVAL UL No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES ^^ NO _ If the answer is no, a roof plan must be provided with this application. 11. Fire rating of roof: Class A \/ Class B _ I understand the following inspections are required: 1. Tear Of f/Pre- inspect ion prior to installing new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. SIGN DATE Contractor cx-"^ Owner Contractor HmeJZv^iAS^]^ *6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. 04/25/97 DATE 04/23/97 11/22/96 11/22/96 11/20/96 11/20/96 INSPECTION HISTORY LISTING FOR PERMIT* CB962235 INSPECTION TYPE Roof/Reroof Roof/Reroof Roof/Reroof Roof/Reroof Roof/Reroof INSP ACT COMMENTS DC AP FINAL RI RI MW/JOHN TP AP SEE INSP NOTES RI RI MW/EVAN DC CO ORIG SHT/NO CARD/STILL TR 1245 HIT <RETURN> TO CONTINUE... UNSCHEDULED BUILDING INSPECTION DATE INSPECTO PERMIT # PLAN CHECK* JOB ADDRESS _ -Zg>(3 C&^/4sLl LtJ, DESCRIPTION TIME ARRIVE: TIME CODE DESCRIPTION ACT COMMENTS CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB962235 FOR 11/22/96 INSPECTOR AREA DC DESCRIPTION: RE-ROOF,2800 SF LITE WT CONCRE PLANCK* CB962235 ICBO #4660 OCC GRP TYPE: MISC CONSTR. TYPE NEW JOB ADDRESS: 2613 COLIBRI LN STE: LOT: APPLICANT: SUPERIOR ROOFING PHONE: 619 745-9509, CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: MW/JOHN SPECIAL INSTRUCT: DECKING TOTAL TIME: CD LVL DESCRIPTION 15 ST Roof/Reroof INSPECTOR ACT COMMENTS DATE DESCRIPTION 112096 Roof/Reroof ***** INSPECTION HISTORY ***** ACT INSP COMMENTS CO DC ORIG SHT/NO CARD/STILL TR 124 City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by section 3700 B of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are INSURANCE COMPANY POLICY NO EXPIRATION DATE (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) ^=\& I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers compensation laws of California Signature Date Warning: Failure to secure workers' compensation coverage is unlawful, and shall be subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, Interest and attorney's fees March 3, 1995 2075 Las Palmas Dr • Carlsbad, CA 92OO9-1576 • (619) 438-1161 • FAX (619) 438-O894